Perimenopause road anyone

I’m 41 and even though I think it’s early, I can conclude that my symptoms are really hitting that stage. Since the beginning of the year started with getting a bit hot at night on my legs( I got cooling blankets Big help) weight gain 😭 again, my anxiety has been crazy at late evenings I can’t seem to stop and feel so guilty. I have no energy to workout and used to be very active. Irritated. But my hormones are functioning perfectly said my endocrinologist. My cycle 3-4 days normal to small bleeding. But the pain has become worst than unbearable, sharp spams that come and go and I don’t know if anyone gets like pain in the vagina, like in the opening. I can’t even walk, I have to curl up and squeeze and it hurts!!! Lower back pain always. My life has been miserable. OC medicine does nothing for me nor Ibuprofen 800. I have laid down and cried from the pain I feel so desperate. This last time the pain lasted about 3 hours nonstop and I was NOT on my cycle. It’s a new thing for me now a days waking up with pain. What specialist can I go see??? I’m from Houston and doing some research, but we lack someone knowledgeable on that matter. I follow a doctor but from New York on IG that emphasizes on this issue, but I don’t have medical insurance. How do you deal??